ArticleFrontiers in psychiatry2026
Expectation framing in psychotherapy: effects of approach- and avoidance-oriented video interventions on help-seeking intentions.
Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06022432 (Overcoming Treatment Barriers), which is not on this map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Overcoming Treatment Barriers: The Role of Expectations in the Behavioral Intention of Treatment Seeking for Social Anxiety
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2 authors.
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Abstract
Introduction: Treatment expectations play an important role in psychotherapy initiation and early treatment engagement may influence whether individuals decide to seek help. Negative expectations, concerns about burden, and anticipated risks may be particularly relevant for individuals with social anxiety. However, little is known about how different ways of framing treatment expectations influence help-seeking intentions. This study examined whether brief, role-model-based video interventions can modify treatment expectations and increase the subjective likelihood of seeking psychotherapy. Materials and methods: Participants (N = 123) were randomly assigned to one of three conditions: (1) avoidance-oriented framing, emphasizing the reduction of negative treatment expectations; (2) approach-oriented framing, highlighting potential positive treatment outcomes or (3) a minimal-intervention control condition. Treatment expectations (TEX-Q) and self-reported likelihood of seeking psychotherapy were assessed before and after the intervention. Results: Both video conditions increased subjective treatment-seeking probability compared to the control group, with a stronger increase observed for avoidance-oriented framing. This pattern was replicated in a subsample with higher self-reported social anxiety. Effects on treatment expectations were less consistent. Conclusion: These findings suggest that expectation-focused communication may help address expectation-related barriers before psychotherapy begins. Avoidance-oriented framing may be particularly relevant in the early phase of treatment engagement, especially for individuals with higher self-reported social anxiety. Trial registration: The trial was registered at ClinicalTrials.gov: NCT06022432.
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